Effects of internal service quality on nurses' job satisfaction, commitment and performance: Mediating role of employee well-being

Nurs Open. 2021 Mar;8(2):607-619. doi: 10.1002/nop2.665. Epub 2020 Oct 25.

Abstract

Aim: The attitudes and behaviours of nursing staff are critical to determine patients' satisfaction and to have a competitive advantage for any healthcare organization. This study is set to investigate the effects of internal service quality (ISQ) on nurses' job satisfaction, employee commitment, well-being and job performance in the healthcare sector of Pakistan. Further, this study also examines the mediating role of nurses' well-being for the relationship of job satisfaction and commitment with their job performance.

Methods: This was a cross-sectional quantitative research. A self-administered survey was used to collect data from 412 nursing employees of 20 private sector healthcare centres operating in Pakistan. Partial least square of structural equation model (PLS-SEM) and structural equation modelling (SEM) were employed through Smart PLS 3.2.8 for data analysis.

Results: Study results revealed that ISQ directly effects employees' satisfaction, commitment, well-being of the nursing employees. Moreover, employees' well-being has mediated job satisfaction and job performance relationship; however, well-being did not mediate the relationship between commitment and job performance.

Keywords: employee commitment; employee-nurse satisfaction; health care; internal service quality; well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Attitude of Health Personnel
  • Cross-Sectional Studies
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Nursing Staff, Hospital*
  • Pakistan